Practice Transformation

By 2017, CMS will require all physicians and practice groups participating in the Medicare Shared Savings Program, Pioneer ACO Model, and Comprehensive Primary Care Initiative to transform to a value-based payment model. These changes will have a significant impact on providers of care.

In addition to payment reform, practice transformation takes many forms, including:

  • Participating in accountable care organizations
  • Instituting patient-centered medical home care models
  • Using quality measures to track improvement
  • Integrating behavioral health
  • Implementing high-risk care management
  • Improving population health

We are leading, along with UConn Health, The Southern New England Practice Transformation Network. The network is one of 29 across the country that is part of the Centers for Medicare and Medicaid Services' Transforming Clinical Practices Initiative.

Many large health systems and state agencies have engaged our transformation specialists to prepare providers for the arduous task of transforming their practices. Our team applies its expertise in a five-pronged approach:

  1. Provide coaching on clinical quality measures, change management, and new care delivery models
  2. Enhance effective use of health information technology
  3. Strengthen the medical neighborhood through communication, coordination and formalized agreements
  4. Disseminate proven best practices across the network
  5. Work with payers and clinicians to implement sustainable payment methodologies

The results of working with us include:

  • Providers who are fully prepared to move to a value-based payment model
  • Implementation of a holistic care model that increases patient health and satisfaction
  • Health systems that can use data to address population health issues